Zika Virus Research Workshop November 30 - December 2, 2016 Data sharing experience from Zika outbreak in Brazil Ricardo Ximenes on behalf of MERG
1. Data sharing in Pernambuco - MERG 2. Harmonization of Protocols 3. Zika Image Sharing Platform 4. Data sharing ZIP study
Aug Sep Increased awareness of neonates with microcephaly Oct SES-PE receives notifications from doctors Oct Picture suggestive of congenital infection Oct Beginning of investigation of SES-PE, SVS/MS 2 and OPAS 11 th Nov Declaration of National Public Health Emergency 1 st Feb Public Health Emergency of International Concern (PHEIC) WHO 18 Feb Notification of Zika virus cases SINAN Brazil 2015 2016
DATA STRUCTURE - One platform - One database - Common form - Specific form - Data entry in each site - Different levels of access AACD Forms DIP & neuro Identification Specific data common form IMIP Forms DIP & neuro Identification Specific data common form HUOC-UPE Forms DIP & neuro Identification Specific data common form Multiple cohorts? Partial data sharing? Fiocruz DATA PLATFORM Management HC-UFPE Form neurodevelop Identification Specific data common form FAV Form ophthalmology Identification Specific data common form Children flow for evaluation and follow-up in the cohort and dynamic data collection and management on the platform HAM-SES Form hearing and dysphagia Identification Specific data common form
1. Data sharing in Pernambuco - MERG 2. Harmonization of Protocols 3. Zika Image Sharing Platform 4. Data sharing ZIP study
I - Towards Data sharing - Harmonization of Protocols Protocol harmonization meeting of Brazilian and Latin American researchers with the support of OPAS/WHO was held in Recife, Brazil, March 2016 Activities: Harmonization : cohort of pregnant women with exanthema, cohort of newborns with microcephaly Discussion of a protocol of sexual transmission, discussion of protocol of neurological changes Participants: MERG, Fiocruz- Rio de Janeiro, Fiocruz - Bahia Mexico, El Salvador, Equador, Colombia
II - Towards Data Sharing - Harmonization of Protocols PAHO/WHO Harmonization, Implementation and Technical support meeting on Zika virus research PAHO/WHO, Mexico City, 14-16 June 2016 Harmonisation of 4 protocols : 1- Cohort of pregnant women with and without Zika virus infection to evaluate the risk of adverse pregnancy outcomes 2- Cohort of newborns and infants born to mothers infected with Zika virus with congenital Zika syndrome 3- Case control studies to estimate risk factor for microcephaly 4- Case control studies of Guillain-Barré syndrome IPD - Individual Participant Data meta-analysis
III - Towards Data Sharing - Harmonization of Protocols European Community-funded consortia Harmonization of the protocol of three consortia: ZIKAction, ZIKAlliance and ZikaPlan Harmonization of study protocols to the greatest extent possible Standardization: (1) the core clinical data collected, (2) the core biological samples collected, (3) the testing algorithms, (4) inclusion/exclusion criteria & endpoint definitions. Standardization data capture tools including data dictionaries, data collection and case report forms, and clinical as well as laboratory SOPs. Review and adaptation of existing documents (e.g. from IDAMS, ISARIC, the NICHD ZIP Study and the MERG group).
1. Data sharing in Pernambuco - MERG 2. Harmonization of Protocols 3. Zika Image Sharing Platform 4. Data sharing ZIP study
Data Sharing - Zika Image Sharing Platform Online data-sharing platform for images of fetal and newborn heads Administered and hosted by the University of Oxford Data contributors are the institutions and their designates who submit individual patient data (3D images) to the platform. Contributors will have the opportunity to discuss the proposal of analysis (planning stage) and contribute in the data analysis process (phenotypic characterization e craniofacial dimorphism and imaging results). Publications of analysis using platform data will be developed collaboratively with data
1. Data sharing in Pernambuco - MERG 2. Harmonization of Protocols 3. Zika Image Sharing Platform 4. Data sharing ZIP study
Data Sharing International Prospective Observational Cohort Study of Zika in Infants and Pregnancy (ZIP study) Sponsored by NIH and Fiocruz - Multi-site, multi-country study Nicaragua, Porto Rico, Colombia, Guatemala Brasil: Rio de Janeiro, São Paulo, Bahia and Pernambuco - Standardization of all instruments and procedures - Central data management system - ZIP Scientific Advisory Committee
Data Sharing - Challenges Standardization of forms and procedures : partial or total? One or several platforms and databases (dialoging)? Data agreement Governance Balance between collaboration and competition
Thank you MERG Team Celina M Tucchi Marteli Ricardo Arraes de Alencar Ximenes* Demócrito de Barros Miranda Filho Thália Velho Barreto de Araújo Laura Cunha Rodrigues *raaximenes@uol.com.br Wayner Vieira de Souza Maria de Fátima P.M. de Albuquerque Maria Cynthia Braga Rafael Dhalia Ernesto Torres Marques And the rest of the MERG Team
UFPE www.cpqam.fiocruz.br/merg/